8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-770 Background Checks
Comments:
A renewal inspection was conducted on May 1, 2024, from approximately 12:05 pm to 3:44 pm. 6 children were present, ranging in ages from 18 months to 2 years with 2 staff supervising. 7 children?s records and 4 staff records were reviewed.
The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programs, special care and emergencies, special services, and background checks.
During the inspection, children were observed napping and later participating in teacher-directed activities. Staff were observed having positive interactions with the children. The center is equipped with toys and supplies and items were available to the children.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.
Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it within 5 business days. Please specify how the deficient practice will be or has been corrected.
Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names, list staff by positions only.
If you have any questions about this inspection, please contact the licensing specialist.
Cindy Horne Office of Child Care Health and Safety Division of Early Childhood Care and Education Phone# 804-297-4469 cindy.horne@doe.virginia.gov
Based on observation and an interview with a center representative (CR1), the center failed to post the findings of the most recent inspection on the premises of the facility.
Evidence: The most recent inspection of the center was 1/26/24. The most recent inspection posted at the center was dated 12/17/21. In an exit interview on 5/01/24, CR1 acknowledged that the findings of the most recent inspection were not posted.
Plan of Correction:
All inspections will be posted in the front of the building
Standard #:
22.1-289.036-A
Description:
Based on review of the renewal application and information provided by a center representative (CR1), the applicant for licensure failed to undergo a background check in accordance with the Code of Virginia every five years.
Evidence: Sworn statement or affirmation, national criminal background check (fingerprint check), and search of the central registry completed within the last five years were requested for the Manager of the LLC as part of the renewal inspection. CR1 reported in an email on 5/01/24 that the background checks for the Manager of the LLC had not been updated.
Plan of Correction:
We will stay on top of all documents to make sure that they don't expire
Standard #:
8VAC20-770-60-C-2
Description:
(Repeat Violation) Based on review of three staff records (S1, S2, and S3), and an interview with a center representative (CR1), the center failed to obtain a search of the central registry before 30 days of employment ended for three employees.
Evidence: There were no central registry search results in the files of S1, S2, and S3. S1 began employment on 2/20/24. S2 began employment on 8/02/23. S3 began employment on 7/17/23. In an exit interview on 5/01/24, CR1 acknowledged that no results were received and that no follow up was completed after the initial requests were submitted.
Plan of Correction:
We will stay on top of the portal to make sure that all documents are processed in a timely manner
Standard #:
8VAC20-780-140-A
Description:
(Repeat Violation) Based on the review of one child?s record (C5), and an interview with a center representative (CR1), the center failed to ensure that a child had a physical examination within 30 days after the first day of attendance.
Evidence: The record of C5 contained a physical examination dated 3/06/24. The first day of attendance for C5 was 9/07/23. In an exit interview on 5/01/24, CR1 acknowledged that the physical was not dated examination within 30 days after the first day of attendance.
Plan of Correction:
We will ensure that all documents are submitted to us before the start day.
Standard #:
8VAC20-780-160-A
Description:
Based on the review of one staff record (S3) and an interview with a center representative (CR1), the center failed to ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.
Evidence: The tuberculosis (TB) screening in the record of S3 was dated 10/06/23. S3 began employment on 7/17/23. In an exit interview on 5/01/24, CR1 acknowledged the TB test for S3 was dated after the date of employment.
Plan of Correction:
We will ensure that all documents and protocols are followed
Standard #:
8VAC20-780-60-A
Description:
(Repeat violation) Based on the review of one child?s record (C5), and an interview with a center representative (CR1), the agency failed to maintain information in the child?s record as required.
Evidence: The record of C5 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. In an exit interview on 5/01/24, CR1 acknowledged that there was one emergency contact listed in the file of C5.
Plan of Correction:
We will ensure that all areas of the application are filled out completely
Standard #:
8VAC20-780-70
Description:
(Repeat violation) Based on the review of one staff record (S2), and an interview with a center representative (CR1), the agency failed to keep staff records as required.
Evidence: There was no documentation in the record that S2 possessed the education or experience required by the job position. S2 was serving as Lead Teacher at the time of the inspection. In an exit interview on 5/01/24, CR1 acknowledged the lack of documentation.
Plan of Correction:
We will ensure that all teachers receive the proper trainings for the position they are working in
Standard #:
8VAC20-780-90--A
Description:
Based on the review of one child?s record (C7), and an interview with a center representative (CR1), the center failed to ensure that written parent agreements related to picking up an ill child and notification of a communicable disease were signed by the first day of attendance.
Evidence: The parent agreements were signed on 5/01/24. The first day of attendance for C7 was 2/20/24. In an exit interview on 5/01/24, CR1 acknowledged that the parent agreements were not signed by the first day of attendance.
Plan of Correction:
We will ensure that all documents are signed and fully completed
Standard #:
8VAC20-780-240-A
Description:
(Repeat violation) Based on the review of one staff record (S1), and an interview with a center representative (CR1), the center failed to ensure that an employee completed the Virginia Department of Education-sponsored orientation course within 90 days of employment.
Evidence: There was no documentation in the record of S1 of completion of the Virginia Department of Education-sponsored orientation course. S1 began employment on 2/20/24. In an exit interview on 5/01/24, CR1 acknowledged that S1 had not completed the course as required.
Plan of Correction:
We will ensure that every employee has finished and presented documentation of the certificate from class.
Standard #:
8VAC20-780-245-A
Description:
(Repeat violation) Based on the review of one staff record (S4), and an interview with a center representative (CR1), the center failed to keep staff records as required.
Evidence: There was no documentation in the record that S4 completed 16 hours of training appropriate to the age of children in care annually. There was documentation of 3 hours of training between 3/15/23 and 5/01/24 for S4. In an exit interview on 5/01/24, CR1 acknowledged that 16 hours of annual training was not documented.
Plan of Correction:
We will make sure that all trainings are filed in the employee files. We will also make sure that by each anniversary date that the hours are met
Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.
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